Abstract

Epidemiological studies report higher prevalence rates of stress-related disorders such as acute stress disorder and post-traumatic stress disorder (PTSD) in women than in men following exposure to trauma. It is still not clear whether this greater prevalence in woman reflects a greater vulnerability to stress-related psychopathology. A number of individual and trauma-related characteristics have been hypothesized to contribute to these gender differences in physiological and psychological responses to trauma, differences in appraisal, interpretation or experience of threat, coping style or social support. In this context, the use of an animal model for PTSD to analyze some of these gender-related differences may be of particular utility. Animal models of PTSD offer the opportunity to distinguish between biological and socio-cultural factors, which so often enter the discussion about gender differences in PTSD prevalence.In this review, we present and discuss sex-differences in behavioral, neurochemical, neurobiological and pharmacological findings that we have collected from several different animal studies related to both basal conditions and stress responses. These models have used different paradigms and have elicited a range of behavioral and physiological manifestations associated with gender. The overall data presented demonstrate that male animals are significantly more vulnerable to acute and chronic stress, whereas females are far more resilient. The stark contradiction between these findings and contemporary epidemiological data regarding human subjects is worthy of further study. The examination of these gender-related differences can deepen our understanding of the risk or the pathophysiology of stress-related disorders.

Highlights

  • Every large scale epidemiologic study has documented a greater prevalence of posttraumatic stress disorder (PTSD) in women than men

  • It has been somewhat difficult to study the nature of the gender difference in PTSD because what might seem a similar exposure in men and women, may be interpreted and experienced differently by men and women

  • Breslau et al [3] reported that the overall conditional vulnerability for PTSD among those exposed to a potential traumatic experience (PTE) is approximately twofold higher in women than men, adjusting for gender difference in the distribution of type of trauma

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Summary

Introduction

Every large scale epidemiologic study has documented a greater prevalence of posttraumatic stress disorder (PTSD) in women than men. Breslau et al [3] reported that the overall conditional vulnerability for PTSD among those exposed to a potential traumatic experience (PTE) is approximately twofold higher in women than men, adjusting for gender difference in the distribution of type of trauma. Men and women showed similar recovery rates from PTSD and associated symptoms These data suggest that retrospective reports of trauma exposure or PTSD may be subject to gender differences in recall bias or attribution of lifetime events as traumatic [6]. We present and discuss sex differences in behavioral, neurochemical, neurobiological and pharmacological findings that we have collected from several different animal studies related to both basal conditions and stress responses These models have used different paradigms and elicited a range of behavioral and physiological manifestations associated with gender. Overall the results have been interesting and indicate that further gender-related animal studies may well provide useful information

Gender differences in basal HPA-axis activity
Gender differences in structures and functions in the CNS
Gender differences in the sympathoadrenal system
Gender differences in response to stressors
Gender differences in HPA-axis reactivity
Role of estrogen
Role of androgen
Gender differences in sympathoadrenal system reactivity
Gender differences in molecular signaling
Gender differences in response to pharmacological treatments
Findings
Conclusions
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